| NPI | 1750904538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 41884) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-04-09 |